THOMAS C KENNEDY


Address: 1211 N 16th Ave, Yakima, WA 98902-1347
Phone: 5094548888

THOMAS C KENNEDY (NPI# 1902872500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902872500
Entity Type Individual
Full Name THOMAS C KENNEDY
Credential M.D.
Practice Address 1211 N 16th Ave
Yakima
WA 98902-1347
Practice Telephone 5094548888
Practice Fax Number 5094530061
Mailing Telephone 5094548888
Mailing Fax Number 5094530061
Enumeration Date 2006-02-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
MD00028021 WA Allopathic & Osteopathic Physicians

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1699892281 Thomas Michael Kennedy Dentist 1261 Clifty Hollow Rd, Madison, IN 47250-3049 2007-03-26
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1891748554 Thomas Joseph Kennedy Obstetrics & Gynecology 4428 Houma Blvd, Ste 410, Metairie, LA 70006 2006-05-17
1982196895 Thomas Kennedy Case Manager/Care Coordinator 125 E Main St, Barnesville, OH 43713-1005 2018-06-06
1396273173 Thomas Lynn Kennedy Jr. Student in an Organized Health Care Education/Training Program 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 2017-05-24
1689042749 Thomas Kennedy Behavioral Analyst 1836 Fremont St, Ashland, OR 97520-2537 2015-09-07
1184034175 Thomas Kennedy Student in an Organized Health Care Education/Training Program 506 6th St, Brooklyn, NY 11215-3609 2014-04-30
1518388990 Thomas Kennedy Counselor 2713 Lancaster Ave, Wilmington, DE 19805-5220 2014-01-02
1558615831 Thomas Robert Kennedy Pharmacist 230 N Wisconsin St, De Pere, WI 54115-2735 2012-11-07

Office Location

Street Address 1211 N 16TH AVE
City YAKIMA
State WA
Zip Code 98902-1347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588640361 Michael A Chang Orthopaedic Surgery 1211 N 16th Ave, Yakima, WA 98902-1347 2005-12-22
1609408350 Kent Wilcox Specialist/Technologist 1211 N 16th Ave, Yakima, WA 98902-1347 2020-02-11
1407496276 Samuel Allard Richards Physician Assistant 1211 N 16th Ave, Yakima, WA 98902-1347 2020-01-09
1164063467 Steven James Quinlan Physical Therapist 1211 N 16th Ave, Yakima, WA 98902-1347 2019-10-08
1427542059 Blair Dorn Physician Assistant 1211 N 16th Ave, Yakima, WA 98902-1347 2018-06-18
1326530452 Elizabeth Noel Tikriti Physician Assistant 1211 N 16th Ave, Yakima, WA 98902-1347 2018-06-04
1508390543 Yakima Orthopedics At Memorial Tr Clinic/Center 1211 N 16th Ave, Yakima, WA 98902-1347 2017-04-17
1629515531 Tina Flores Nurse Practitioner 1211 N 16th Ave, Yakima, WA 98902-1347 2017-01-30
1043757644 Karen Marie Rice Physical Therapist 1211 N 16th Ave, Yakima, WA 98902-1347 2017-01-21
1184013724 Kayla Marie Norwood Physical Therapy Assistant 1211 N 16th Ave, Yakima, WA 98902-1347 2015-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922653203 Laboratory Corporation of America Clinical Medical Laboratory 314 S 11th Ave Suite A, Yakima, WA 98902 2019-08-05
1669967865 Rebecca Schrader Speech-Language Pathologist Children's Village 3801 Kern Road, Yakima, WA 98902 2018-06-29
1720572928 Hyperbaric Centers of Washington Preventive Medicine 302 S. 12th Ave., Yakima, WA 98902 2018-06-20
1487155503 Courtney Lombardi Nurse Practitioner 1515 W Yakima Ave, Yakima, WA 98902 2018-02-23
1003329665 Maria-elena Mendoza Case Manager/Care Coordinator 918 E Mead Avenue, Yakima, WA 98902 2017-11-06
1679017610 Claudia Zepeda Massage Therapist 3908 Creekside Loop Ste # 110, Yakima, WA 98902 2016-12-09
1093194425 Silas Klaver Podiatrist 1607 Creekside Loop Ste 140, Yakima, WA 98902 2015-05-18
1821490905 Jen Lynn Silver Massage Therapist 3512 Tieton Dr, Yakima, WA 98902 2014-09-20
1194131383 Brenna Claire Hayes Genetic Counselor, MS 2903 W Walnut, Yakima, WA 98902 2014-07-08
1720400435 Agnes Nadine Jeske Speech-Language Pathologist 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 2014-01-15
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467428961 Richard D Roux Orthopaedic Surgery 1211 N 16th Ave, Yakima, WA 98902-1347 2006-02-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972073799 Proliance Surgeons, Inc., P.s. Orthopaedic Surgery 150 Andover Park W, Tukwila, WA 98188-2801 2018-12-05
1376751669 Christopher J. Van Hofwegen Orthopaedic Surgery 2979 Squalicum Pkwy Ste 203, Bellingham, WA 98225-1813 2007-05-18
1194822874 Amaryllis J. Scott Orthopaedic Surgery 785 E Holland Ave, Spokane, WA 99218-1257 2006-09-17
1477572931 James J Wyman Orthopaedic Surgery 11212 Sunrise Blvd E Ste 201, Puyallup, WA 98374-8847 2006-07-18
1295774016 Public Hospital Dist No 1 Skagit Orthopaedic Surgery 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 2006-06-06
1205887056 Christopher George Anderson Orthopaedic Surgery 12410 East Sinto, Suite 210, Spokane, WA 99216 2006-05-15
1942250535 Vincent M Santoro Orthopaedic Surgery 12333 Ne 130th Lane, #400, Kirkland, WA 98034-7467 2006-05-12
1720040371 Phillip A Medina Orthopaedic Surgery 4361 Talbot Road S, #102, Renton, WA 98055 2006-04-06
1356326870 Donald William Henline Orthopaedic Surgery 3726 Broadway Ste 201, Everett, WA 98201-3788 2005-12-07
1679122758 Taylor Nicole Fowers Orthopaedic Surgery 12039 Ne 128th St Ste 400, Kirkland, WA 98034-3029 2019-09-10
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Competitor

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City YAKIMA
Zip Code 98902

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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